Volume 9, Number 50 September  16, 2020

Dear Healthcare at Home Colleague,

Medicare providers, how much money have CMS contractors taken from you through denied claims or auditor take-backs over the last three years? If you believe the number is too high, that denial decisions are too strict, you are no doubt already shaking your head in surprise, maybe even disgust, at the report from four Congressional committees about improper use of taxpayer dollars by CMS Administrator Seema Verma. If you haven't had time to read the committees' 56-page report, we pulled out its Executive Summary and reprint it for your convenience this week. Click below on "Bi-Partisan Congressional Committees Demand CMS Administrator Repay Misspent Funds."

Home Care Providers, do you struggle with intense competition? Have you figured out the importance of your online presence? You know that it is the adult child of your next client who is searching for your services, right? And you know that child does not always live near Mom and Dad. Guest author and online marketing consultant Roger McManus reminds us this week that Google still gets 3/4 of search engine traffic. Will that adult child find you in a Google search? What should you do to make sure? Read Roger's primer to find out. Private duty providers, also take note of Alayacare's announcement in our Vendor Watch column about achieving SOC 2 Type 1 certification.


Home Health Director's of Nursing, do you lock OASIS assessments and submit RAPs on the day of the start-of-care visit? Are you also looking for a safe way to admit patients and QA clinical documentation during this never-ending pandemic? Would you like to? Take a look at the product announcement from OperaCare about adding video visit capability to their already successful medical scribe system.



Everybody who deals with insurance, two stories will grab your attention and provide some important information. Staff writer Darcey Trescone, BSN, has learned about the use of Artificial Intelligence by payers. They can not only detect insurance fraud more accurately, but they can also buy your social media activity data and decide whether they want to cover you or pay for your care anymore, based on your lifestyle choices. Also, guest author Wendell Potter examines insurance industry standard practice in the COVID-19 era. They say they will pay for everything but he seems to know, after years as an industry PR executive and master spin doctor, exactly how they use language to get around that promise. Potter's article is titled, aptly, "Insurance Industry Insider Instructs Providers."

Worth the trip
Speaking of the pandemic, if infection control is at the top of the list of things that keep you up at night, register for the free webinar presented by Savii, in partnership with online education service Nevvon. The title is "Preparation for A New Normal: Infection Control." Mark your calendar for Tuesday, October 20 at 1:00 pm EDT. Click here for additional information and to register for this free webinar.



Important Reminders
My Google Analytics reports tell me my Home Care Technology Buyer's Guide is a big hit. If you don't happen to be in a tech vendor search right now, I hope you will bookmark the site and take advantage of its software advice when you need it. http://homecaretechnology.info

Why does anyone start a business? To have a job? To be free? To get more headaches and sleepless nights? None of the above? I reveal the right answer in my book, Entrepreneurial Insanity in the Home Care Business. My co-author Roger McManus and I are pleased to have been getting great reviews from early readers. Click on the title to order. It could be the best twenty bucks you've ever spent.

Have a great masked, socially distanced, healthy week. Keep making a difference!

Editor signature
Tim Rowan

Bi-Partisan Congressional Committees Demand CMS Administrator Repay Misspent Funds
Bi-partisan committees find Administrator used public funds to promote her personal brand.

Health Insurance Evolution with AI Technologies
As value-based insurance programs enter the marketplace, focused on promoting healthier behaviors and outcomes for their members, we may find that these carriers know our patients better than we do and have more input into the care provided than previously seen.

Insurance Industry Insider Instructs Providers
Opening sentence: "My former colleagues in the health insurance industry claim theyre waiving all costs of testing & treatment for #COVID19. This is a lie." The rest is even more provocative.

Be All You Can Be; For Free
Focus on Google to keep the focus on you.

Vendor Watch
— OperaCare's medical scribe system upgraded to video consultations, offering COVID safety and cost savings.
— AlayaCare successfully completes SOC 2 Type 1 certification

New, "Printed Batteries" Make Wearable Monitors Possible
The development of thin, flexible batteries is predicted to fuel the spread of wearable remote patient monitoring devices.

During the 4th Quarter of 2020, web sites of the above advertisers were visited by home care and hospice executives and staff 4319 times.

To inquire about placing your message here, contact:


As of this date, approximately 39,017,000 Baby Boomers have become Medicare eligible.


Last Week's Most-Read Stories:

Report: Direct Care Workers Now Largest Occupation in U.S.
Still among lowest paid, in-home and residential caregivers outnumber every occupation in the country. 8.2 million more needed in less than 10 years.

Social Media Will Bite You!
Can your employees' social media posts on their own page on their own time bring your agency down? An attorney says 'yes.'

Upcoming Events

FREE WEBINAR: How Technology Enhances Home Care in an Increasingly Remote World *

Sponsored by: Care Connect

Moderator: Tim Rowan

Panelists: Mike Gelman, President COO, CareConnect; Jim Rolla, SVP, VNSYNY Partners in Care; Steve Pellito, SVP, Provider Sales, Sandata

Date: November 12
1:00 pm EDT


The 2021 Home Health Final Rule 

Insights to position your agency for success

Sponsored by: WellSky

Featuring: Sharon Harder, president, C3 Advisors; Jill Dyer, BSN, RN, HCS-D, HCS-O, president, JID Consulting and Coding, LLC

Date: November 18
Time: 1:00 - 2:00 EST

Attendees will learn:

  • How to prepare for and implement the operational changes imposed by the final rule, including submission of no-pay RAPs within five calendar days of the start of care and changes to the types of non-physician practitioners who can order home health services
  • The impact of CMS’s decision to retain the PDGM behavioral adjustment
  • The status of proposed legislation aimed to allow home health agencies to bill for telehealth services during public health emergencies and how this change would affect care planning and delivery

FREE WEBINAR: Cybersecurity in Healthcare: Assess Threats & Reduce Your Risk

Presented by: Netsmart

Featuring: Randy Pargman, Binary Defense senior director of threat hunting and counterintelligence; Sharon Hicks, MBA, MSW, OPEN MINDS senior associate; and Mike Murray, Netsmart director of Plexus Technologies,

Date: December 9

Time: 1:00 EST

Information and Registration

Healthcare organizations are often at risk of cyberattacks due to a lack of dedicated IT and reliance on traditional reactive approaches. To learn how to protect your data, register now to join Randy Pargman, as they map the risk landscape and provide guidance for safeguarding your organization.

Key takeaways:

• Cyber threats in healthcare
• Impacts of a data breach
• Best practices for securing your data


FREE WEBINAR: Can you collect Cash faster?

Sponsored by: Savii

Date: Tuesday, January 12

Time: 2:00 pm EST

Information and Registration

With small margins in home care it has prompted the question, “Can we collect cash faster?” And what would this do for an agency? One thing we know is margins are small and have become more challenging than ever to for agencies to profit. This doesn’t mean it impossible for agencies to survive; it means a focus on collecting cash faster will be ever so important.

Agency leaders will first need to develop a timeline cadence of when to address claims based on when they were submitted for payment. In addition it will be pertinent to understand their own agency metrics such as DSO (Daily Sales Outstanding) and how they compare to industry standards.

On this webinar you will walk away with how to develop a timeline and your own DSO dashboard for benchmarking. All of these topics will weave into  strategic steps to take toward collecting cash flow faster.

FREE WEBINAR: Return to Work under COVID-19

Presented by: Healthcare Synergy
David Mauzey, SVP & General Manager, HealthPointe Solutions

Date: January 14
Time: 11:00 - 11:30 PST


The COVID pandemic has evolved, initial processes in place ensure a safe work force environments but need to evolve to stay effective and efficient. Home health has an extra layer of scrutiny given the population may be at a higher risk. This webinar will focus on how an organization can evolve to keep their workforce and patients safe. HealthPointe Solutions has a full inventory of new and advanced recommendations that help implement and maintain site safety. This includes step-by-step guidance that include medical testing administration strategies, patient/employee monitoring, training/education and program auditing.
David Mauzey has over 25 years' experience in healthcare, helping bring operational efficiency solutions to both providers and payers. Within HealthPointe Solutions, he is responsible for operations and was a part of the team that developed HealthPointe Solutions’ COVID response solutions. Prior to joining HealthPointe Solutions, David served as VP and GM of Optum's Network Payment Innovation, where he focused on alternative payment programs, including bundle d payments and population-centric, value-based programs.

FREE WEBINAR: The Rise of Hospital at Home: A Roundtable Discussion

Sponsored by: AlayaCare

Featuring: Dr. Bruce Leff, Hospital at Home Pioneer & Professor, John Hopkins School of Medicine; Adrian Schauer, Founder and CEO
AlayaCare; Joel Theisen, Founder and CEO, Lifesprk; Brady Murphy, VP Sales & Marketing, AlayaCare

Date: Wednesday, January 27
1:00 EST

Information and Registration

Across the U.S., the Acute Hospital Care at Home initiative from CMS is taking off amid the pandemic with at least 80 approved participants to date. As hospital-at-home models become more popular and more beneficial to both patients and health care organizations, those that have recognized the perks of home-based care prior to the COVID-19 crisis may have the upper hand.

Join us on Wednesday, Jan 27th at 1:00 pm EST for a roundtable discussion with industry experts such as Dr. Bruce Leff, Hospital at Home Pioneer and Professor at John Hopkins School of Medicine who deserves his reputation as a founding father of this virtual hospital concept, to learn about the hospital-at-home model and its impact on the home care industry.

FREE WEBINAR: 5 Key Elements of a Successful Home Health Remote Patient Monitoring Program

Presented by: Amity Healthcare Group

Featuring: Irina Gorovaya, owner and president of Amity Healthcare Group; Erin Vallier, AlayaCare Account Executive; Kaila Raimondo, AlayaCare Solution Engineer

Date: Wednesday, January 27

Time: 2:00 pm EST

Information and Registration



Explore key factors and solutions necessary for successful deployment of patient remote monitoring program in home health.

The discussion will include policies and procedures, documentation, staff education, and telehealth equipment and solutions.

FREE WEBINAR: Rubber Meets the Road with the No-Pay RAP

Sponsored by: KanTime & BlackTree Consulting

Featuring: Nick Seabrook, Managing Principal and Founder, BlackTree; Kim Spence, RN, Director, KanTime Customer Success; Greg Lotz, Director, KanTime Marketing & Sales Technology

Date: February 4
Time: 2:00 EST



Re-visit regulatory changes and how they have impacted agencies. Plus, tips and tricks to stay ahead of the curve.

Virtual Conference: Winter Leadership Summit

Presented by: National Association for Home Care and Hospice

Date: February 23, 2021


Homecare 100 *

Presented by: Lincoln Healthcare Leadership

Date: June 27-30, 2021
Venue: JW Marriott Marco Island Beach Resort, FL


*The Rowan Report will see you there.

Your state or national association meeting or webinar not listed? Send the details to Conferences@RowanResources.com using this format:

Conference Title
Sponsoring Association
Hotel or Conference Center, City, State

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